Vestibular migraine and persistent postural perceptual dizziness: Handicap, emotional comorbidities, quality of life and personality traits

Ak, Ayşın Kısabay; Çelebisoy, Neşe; Özdemir, Hüseyin Nezih; Gökçay, Figen

doi:10.1016/j.clineuro.2022.107409

Cited by 11 publications

(6 citation statements)

References 42 publications

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“…A female predominance of 92% (12 of 13) was seen in our sample; this is higher than previously reported rates of ~50 to 70% (54,55,57). Symptom severity scores on the Dizziness Handicap Inventory, Activities-specific Balance Scale, Patient Health Questionnaire-9, and Beck Anxiety Inventory obtained in patients with PPPD were in line with multiple past reports indicating a moderate to severe dizziness handicap and mild to severe anxiety and depression (54,55,58,59) (Table 1). Patients with PPPD had scores that indicated increased severity on all questionnaires relative to HC ( p < 0.001).…”

Section: Resultssupporting

confidence: 87%

Characterization of Vestibular Perception in Patients with Persistent Postural-Perceptual Dizziness

Kobel,

Wagner,

Oas

et al. 2023

Otol Neurotol

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Objective To assess vestibular (i.e., passive self-motion) perception in patients diagnosed with persistent postural-perceptual dizziness (PPPD). Study Design Case-controlled, cross-sectional, observational investigation. Setting Single-center laboratory-based study. Patients Thirteen patients with PPPD, 13 age-matched healthy control volunteers. Of those with PPPD, eight had co-occurring vestibular migraine (VM). Interventions All participants completed a vestibular threshold test battery reflecting perception with predominant inputs from (a) the otoliths (1-Hz interaural y-axis translation, 1-Hz superior-inferior z-axis translation), (b) the semicircular canals (2-Hz yaw rotation, 2-Hz tilts in the planes of the vertical canal pairs), and (c) and canal-otolith integration (0.5-Hz roll tilt). Main Outcome Measures Direction-recognition thresholds for each vestibular threshold test condition. Results Across all patients with PPPD, higher thresholds for superior-inferior z-translations thresholds in comparison to age-matched healthy control participants were identified (p < 0.001). Those patients with co-occurring VM and PPPD (PPPD/+VM) displayed significantly higher z-translation thresholds (p = 0.006), whereas patients with PPPD without VM (PPPD/−VM) displayed significantly higher roll tilt thresholds (p = 0.029). Conclusions Patients with PPPD did not display a global worsening of passive self-motion perception as quantified by vestibular perceptual thresholds. Instead, patients with PPPD displayed elevated thresholds for only roll tilt and z-translation thresholds, with the relative change in each threshold impacted by the co-occurrence of VM. Because both z-translation and roll tilt motions are reliant on accurate gravity perception, our data suggest that patients with PPPD may exhibit impaired processing of graviceptive cues.

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Section: Resultssupporting

confidence: 87%

Characterization of Vestibular Perception in Patients with Persistent Postural-Perceptual Dizziness

Kobel,

Wagner,

Oas

et al. 2023

Otol Neurotol

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“…23 Some patients may present these as a transitory condition lasting while the vestibular disorder is active. 20,22 Increased rates of anxiety and avoidance behaviors are described in acute and short episodes of vertigo, such as BPPV. In this type of vertigo, getting up or lying down during sleep or changing positions may increase the severity and intensity of symptoms leading to avoid provoking movements or common positions during daily activities.…”

Section: Results and Implicationsmentioning

confidence: 99%

“…These scores were mostly high in patients with diagnosis of BPPV, Vestibular migraine, MD, bilateral s well as the unilateral vestibulopathies, as well as the postural perceptual persistent dizziness (Table 2). [11][12][13][14][15][16][17][18][19][20] Patients with BPPV mostly presented sleep disturbances, described as fear of rolling, and getting up. Individuals diagnosed with BPPV also described limitations to perform work duties, limited mobility, and increased perception of disability at office.…”

Section: Reviewmentioning

confidence: 99%

Quality of life in patients with vestibular disorders: a narrative review

Franco

Uricel

Valencia

et al. 2023

Int J Otorhinolaryngol Head Neck Surg

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Vestibular disorders may lead to physical disability and altered quality-of life. Even though, some specific diseases are associated with sleep, work, leisure, and emotional impairment, little is known about which vestibular disorders may lead to disturbances in daily life activities. We aim to extend the understanding of this issue and provide a comprehensive overview about how vestibular disorders are linked to altered quality of life (QoL). Currently available literature was analysed for understanding the affection of QoL in several focused daily-life activities. Vestibular disorders and QoL articles were reviewed; 431 articles were found on different databases and 50 were included in this review. We provide the latest evidence about how QoL is affected by vestibular disorders, their relationship, and upcoming challenges in this review. The deepest understanding of how QoL may be affected by vestibular disorders would provide better comprehension of this process for primary care physicians, otolaryngologists, neurologists, and neuro-otologists.

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“…Globally, vestibular diseases exhibit a high prevalence in both genders; however, a higher incidence is observed in females, a trend consistent with our study's ndings. (13)(14)(15)(16)(17)(18)(19)(20). We noted a signi cant prevalence of vestibular migraine among our patients, which can be attributed to the fact that the majority were women.…”

Section: Discussionmentioning

confidence: 99%

“…We noted a signi cant prevalence of vestibular migraine among our patients, which can be attributed to the fact that the majority were women. This vestibular disorder is most prevalent in this group and is a leading cause of episodic vertigo (13)(14)(15).…”

Section: Discussionmentioning

confidence: 99%

Assessment of quality of life in hispanic patients with vestibular disorders using EQ-5D 3L, VAS and Dizziness Handicap Inventory Questionnaire

Gómez-Roldan,

Robles,

Franco

et al. 2023

Preprint

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Background: Vestibular disorders often lead to physical impairments, an increased risk of falls, elevated rates of anxiety and depression, and a significant reduction in quality of life (QoL). While previous studies have consistently documented the adverse effects of vestibular disorders on QoL, limited research has employed uniform tools like the EQ-5D 3L to assess these effects across different vestibular conditions. This study aimed to bridge this gap by investigating Hispanic/Latin patients with acute, episodic and chronic vestibular disorders, using the EQ-5D 3L and VAS questionnaire and Dizziness Handicap Inventory. Methods: A Cross-sectional study was conducted across three specialized vertigo and dizziness centers in Mexico City, Guadalajara, and Medellín. Patients diagnosed with vestibular disorders were administered the EQ-5D-3L, EQ VAS, and Dizziness Handicap Inventory (DHI) questionnaires. Results: A substantial negative impact on QoL, with mobility impairment, self-care difficulties, and challenges in performing daily activities affecting a significant proportion of patients. The study found no significant differences in EQ-5D and VAS scores between females and males with vestibular disorders, and patients with acute and episodic vestibular syndromes exhibited comparable scores. In contrast, patients with chronic vestibular syndromes showed significantly lower EQ-5D and VAS scores. Additionally, lower scores on the DHI were observed in patients with episodic and chronic vestibular syndromes, further indicating the profound effect of these conditions on QoL. Conclusion: This study underscores the significant and diverse impact of vestibular disorders on the QoL of Hispanic/Latin patients and highlights the importance of using standardized tools like the EQ-5D 3L for comprehensive assessment.

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Vestibular migraine and persistent postural perceptual dizziness: Handicap, emotional comorbidities, quality of life and personality traits

Cited by 11 publications

References 42 publications

Characterization of Vestibular Perception in Patients with Persistent Postural-Perceptual Dizziness

Characterization of Vestibular Perception in Patients with Persistent Postural-Perceptual Dizziness

Quality of life in patients with vestibular disorders: a narrative review

Assessment of quality of life in hispanic patients with vestibular disorders using EQ-5D 3L, VAS and Dizziness Handicap Inventory Questionnaire

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